SURGERY CENTER OF OAKLAND LP
NPI 1972114171
Clinic/Center - Ambulatory Surgical in Oakland, CA

Active since August 11, 2020CLIA 05D2211393 · Waiver
80 GRAND AVE STE M-1, OAKLAND, CA 94612(510) 295-0439 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2020, Sep 5, 2020, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

About Surgery Center Of Oakland Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGERY CENTER OF OAKLAND LP (NPI 1972114171) is a healthcare organization registered as an ambulatory surgical in Oakland, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists David Odell, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1972114171
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF OAKLAND LP
Location Address80 GRAND AVE STE M-1Oakland, CA 94612-3725
Mailing Address121 Gray Ave Ste 200Santa Barbara, CA 93101-1800
Organization SubpartNo
Authorized OfficialDavid OdellAuthorized Official · (888) 282-7472
Enumeration DateAugust 11, 2020
Last NPPES UpdateNovember 24, 20204 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
NPI 1972114171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
80 GRAND AVE STE M-1, Oakland, CA 94612

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2211393

Surgery Center Of Oakland, LP · Oakland, CA
Active · expires Jan 26, 2027
CLIA Number05D2211393
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorWarren Strudwick
Laboratory Phone(510) 295-0439
Laboratory LocationSurgery Center Of Oakland, LP80 Grand Avenue, Suite M-1, Oakland, CA 94612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
32 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgery Center Of Oakland LP's NPI number?

The NPI number for Surgery Center Of Oakland LP is 1972114171. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Surgery Center Of Oakland LP located?

Surgery Center Of Oakland LP is located at 80 Grand Ave Ste M-1, Oakland, CA 94612. The listed phone number is (510) 295-0439.

What is Surgery Center Of Oakland LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Center Of Oakland LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2211393) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Oakland LP was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.